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Design and clinical application of the ‘styloidectome’ styloid process cutter

Published online by Cambridge University Press:  03 July 2006

W Zhibin  and
J Min
W Zhibin
Affiliation:
Department of Otolaryngology, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, P R China
J Min
Affiliation:
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, P R China
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Abstract

A styloid process (SP) cutter was developed and put into clinical use. The design of components of the ‘styloidectome’ was based on the principles of mechanics. The measurements of the individual parts were determined on the basis of morphological data of the oropharynx from 40 subjects undergoing tonsillectomy under general anaesthesia. Experiments showed that the instrument could be used to transect the SP and excise the amputated bones from the deep tissue space. We used the instrument for the resection of elongated SPs, via an oral approach, in seven in-patients (involving 10 SPs) under general anaesthesia and in two out-patients (involving three SPs) under local anaesthesia. The length of the resected SP ranged from 0.8 to 2.5 cm and the stump of the SP was smooth. The removal lasted only seconds and blood loss was minimal, without any complications. The styloidectome was reliable, easy to use and could be used for the resection of an elongated SP under general or local anaesthesia.

Keywords

Styloid ProcessOropharynxOtolaryngologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 9 , September 2006 , pp. 753 - 758
Copyright
2006 JLO (1984) Limited

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